Modern technology is tricking your nervous system into fight-or-flight — and it's decently profitable to keep you there. Jon Hacker, CEO of NeurGear, explains how focused ultrasound vagus nerve stimulation can switch you back.

In this episode of Health Longevity Secrets, Robert Lufkin MD sits down with Jon Hacker, biomedical engineer and CEO/co-founder of NeurGear, the company behind ZenBud — the first ultrasound-based vagus nerve stimulator. They cover how the vagus nerve governs your rest-and-digest state, why so many of us are stuck in survival mode, how ultrasound compares to electrical stimulators, what the clinical trial data shows, and where single-neuron interfaces could take medicine next.

Chapters:

  • 00:00 — Introduction
  • 01:36 — From Anime Dream to Neurotech Startup: Jon Hacker's Story
  • 06:32 — How AI Supercharges a Small Hardware Team
  • 09:26 — Why Ultrasound Won: Two Pivots to the Vagus Nerve
  • 12:21 — Vagus Nerve 101: Rest-and-Digest vs Survival State
  • 14:59 — How Modern Technology Traps You in Fight-or-Flight
  • 16:02 — Measuring Vagal Tone: HRV, Resting Heart Rate & Reaction Time
  • 19:44 — How Focused Ultrasound Activates a Nerve
  • 21:07 — ZenBud vs Electrical Vagus Stimulators (Pulsetto, Truvaga)
  • 23:00 — Dosing ZenBud: 30-Minute Sessions, Sleep & Safety Limits
  • 26:05 — The Medical Industry's Incentive Problem
  • 30:16 — What to Track: Why Quality of Life Beats Biometrics
  • 32:34 — Side Effects & Overuse: Headache Warning Signs
  • 34:22 — Where VNS Fits: Sleep, Diet, Exercise & Breathwork
  • 36:57 — The Future: Single-Neuron Interfaces & Full-Dive VR

Key takeaways:

  • Your vagus nerve drives your "rest-and-digest" state — low vagal tone leaves you stuck in survival mode, and chronic survival-state activation feeds the chronic diseases we face today
  • ZenBud uses low-intensity focused ultrasound (not electricity) to stimulate the auricular branch of the vagus nerve — no shocks, no gel pads, no app required
  • In a 4-week pilot trial, daily 5-minute sessions produced significant reductions in anxiety, depression, and PTSD symptom scores
  • Reaction time, resting heart rate, and HRV can track nervous-system changes — but your quality of life is the gold standard
  • Start with 5 minutes a day and scale up slowly; a mild reversible headache is the signal to dial back

Studies & sources:

📖 Dr. Lufkin's book Lies I Taught in Medical School · 📰 Substack newsletter · 🌐 robertlufkinmd.com

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